Healthcare Provider Details
I. General information
NPI: 1972556009
Provider Name (Legal Business Name): MUENSTER HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2006
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
605 N MAPLE ST
MUENSTER TX
76252-2424
US
IV. Provider business mailing address
PO BOX 370
MUENSTER TX
76252-0370
US
V. Phone/Fax
- Phone: 940-759-6104
- Fax: 940-759-5080
- Phone: 940-759-6104
- Fax: 940-759-5080
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
ROLAND
Title or Position: CEO
Credential:
Phone: 940-759-6153